Welcome

Help us know if we're doing a good job providing health care to patients your age. Please share your thoughts on your most recent medical visit to the Corner Health Center. 

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* 2. Gender

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* 3. Race/Ethnicity

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* 4. What type of visit was your most recent medical visit?

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* 5. At your most recent visit, did the provider (doctor or medical provider)...

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listen carefully to you?
talk to you (rather than your parent/guardian)?
ask about your physical and mental health?
talk privately with you (without your parent/guardian in the room)?
show respect for what you have to say?
explain things in a way that is understandable?
spend enough time with you?
address all of your health needs?
have you privately fill out a survey about your health behaviors?
treat you in a non-judgmental way?

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* 6. Please give your opinion about getting health care at the Corner Health Center

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At this clinic, I can get information to better understand issues affecting my health.
I will tell a provider my concerns, even if they don't ask.
I am completely honest when talking to my provider about my health, personal life, and activities.
I know what health services I can get without my parents knowing or saying it is OK ("confidential services").
I know how to contact my provider or the clinic if I have any questions or concerns.
The reception area and office staff are welcoming to teens and young adults.
I would recommend this clinic to other teens and young adults. 

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* 7. Optional: Please provide us with your email address if you'd like to be entered to win the $150 e-gift card. 

0 of 7 answered
 

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